Coordinated Benefits Plan (HMO)

The Healthfirst Coordinated Benefits Plan is a Medicare Advantage plan that offers members all the benefits of Original Medicare, plus dental, hearing, vision, routine transportation, and 24/7 access to care with Teladoc© and the Nurse Help Line. And you don’t need referrals to see in-network specialists. This plan may be right for you if you don’t need prescription drug coverage because you have it through an employer, union, or other source This plan does not include prescription drug coverage under Part D. If you’re a member of another Medicare Advantage plan or standalone Medicare prescription drug plan (Part D) and you join this plan, you’ll be disenrolled from the other Medicare Advantage or Medicare Part D plan.

Plan Highlights:

  • Dental
  • Vision exams and eyeglasses
  • Hearing exams and hearing aids
  • Routine transportation
  • 2019
Coordinated Benefits Plan (HMO)
Summary of Benefits and Coverage (PDF)
English
Premium
$0
Eligible Age
65 or older
Eligible Location
Within New York City’s five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island) and Nassau County
Other Eligibility Requirements
Qualify for Medicare Part A (you are 65 or older, or under 65 with certain disabilities)
Enroll in and continue to pay for Medicare Part B
Do not have End-Stage Renal Disease (ESRD) (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances
Already have dependable coverage through an employer, union, or other source (not including standalone Medicare Prescription Drug Plans)
Dental
$5 copay
Vision
$0 copay
Hearing
$35 copay
Teladoc
$0 copay
Nurse Help Line Access
$0 copay
Free Rides
FREE transportation to/from your doctor or pharmacy — up to 8 one-way trips per year
Meal Delivery
$0 copay for up to 42 meals delivered to your home for up to 14 days following an inpatient hospital stay greater than two days, if recommended by a provider
More Plan Information

Additional Plan Highlights

  • 24/7 Access to Telemedicine with Teladoc*

    Talk to a doctor any time—for a $0 copay. Visit with board-certified doctors through video chat or phone for prescriptions, treatment of non-emergency health issues, and more. Access to dermatologists is also available.

    *Telemedicine isn’t a replacement for your Primary Care Provider (PCP). Your PCP should always be your first choice for care and for routine visits.

  • 24/7 Access to care with the Nurse Help Line

    Talk to a nurse any time—for a $0 copay. Get wellness advice and help finding a doctor.

  • Urgent Care Center Network

    Get the care you need when you need it at an urgent care center in our network–no appointment needed. Urgent care centers offer late-night and weekend hours, often with faster service at a lower cost than the emergency room (ER). Visit an in-network urgent care center to get help with non-emergency health issues like earache, upset stomach, and sprains; for wounds that need stitches; and more.

Additional Plan Highlights

  • 24/7 Access to Telemedicine with Teladoc*

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  • 24/7 Access to care with the Nurse Help Line

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  • Urgent Care Center Network

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Frequently Asked
Questions

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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-877-237-1303

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Member Services

1-888-260-1010

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

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